Individual
ROBERT BENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 HOUSATONIC AVE, STRATFORD, CT 06615-6025
(203) 581-0537
Mailing address
355 HOUSATONIC AVE, STRATFORD, CT 06615-6025
(203) 581-0537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-73752
CT
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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